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Ms. Alicia Mary Fagan, LCSW
Clinical Social Worker in Southington, Connecticut
NPI 1629157615

Alicia Mary Fagan is a Clinical Social Worker based in Southington, CT and is specialized in Clinical. Alicia Mary Fagan practices in Southington, CT and has the professional credentials of LCSW. The NPI Number for Alicia Mary Fagan is 1629157615 and holds a License No. 000422 (Connecticut).

The current practice location address for Alicia Mary Fagan is 51 North Main Street, Southington, CT and can be reached out via phone at 860-621-2280 and via fax at 860-628-0219. You can also correspond with Alicia Mary Fagan through the mailing address at 51 NORTH MAIN STREET, SOUTHINGTON, CT - 06489 (mailing address contact number: 860-621-2280).

Location: 51 North Main Street, Southington, CT, 06489
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629157615
Provider Name
Alicia Mary Fagan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
51 North Main Street, Southington, CT, 06489
Phone Number
860-621-2280
Fax Number
860-628-0219
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004149531 05 CT
institution
Provider Business Practice Location Address Details
Address
51 North Main Street
City
Southington
State
Connecticut
Zip
06489
Phone Number
860-621-2280
Fax Number
860-628-0219
person
Provider Business Mailing Address Details
Address
51 North Main Street
City
Southington
State
Connecticut
Zip
06489
Phone Number
860-621-2280
Fax Number
860-628-0219
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
000618 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
000422 (Connecticut)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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